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Individual

JUDY PAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
110 S PACA ST, BALTIMORE, MD 21201-1642
(410) 328-3058
Mailing address
110 S PACA ST FL 4, BALTIMORE, MD 21201-1642
(410) 328-3058

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
D90982
MD
390200000X
Student in an Organized Health Care Education/Training Program
NOT YET LICENSED

Other

Enumeration date
07/09/2008
Last updated
09/28/2022
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